RENAL TUMOR CASES FOR DISCURSION Prof. Hasan Farsi Consultant Of Urology KAU Ass Prof Anmar Nasir Consultant of Urology Um Al-qura univ

Case 1

History  Age –54y  Symptoms –Bilateral flank pain –No hematuria –No voiding or storage symptoms –No uremic manifestations  O/E: –Generally ok –Fullness in both renal angle with mild tenderness – no palpable mass

Laboratory profiles Renal profiles CBC KNaCrPlateletWbcsHg Prop Post Op Post Renal TX CxrAltBilirubin Alk Phos AlbuminNad Prop Nad Post Op Nad Post Renal TX

Preop.15/1/2006

Surgical procedure  Date : –23/2/2006  Surical technique –Bilateral radical nephrectomy –12 rib supra costal approch  Pathology :

Pathology Microscopic Description Gross Description RightLeftRightLeft GIIT2NoMo GII T2NoMo 14x7x617x11x6Size Ureter And Renal Artery And Vein Pre-nenphric Fat, Ureter And Renal Artery And Vein Attached To -Ve+Ve Adrenal Gland -Ve-VeLN Numerous Tumor Nodules Ranging In Sixe From0.4- 6cm Numerous Tumor Nodules Ranging In Sixe From0.4- 9cm Tumour

Post operative for 2 yrs

Renal TX 27/11/2008

Post renal TX

Case 2

 Age –53y  Symptoms –Left flank pain –No hematuria –No voiding or storage symptoms –No uremic manifestations  O/E: –Generally ok –mild tenderness –no palpable mass

Surgical procedure  Date : –8/5/2007  Surical technique –Left partial Nephrectomy –12 rib supra costal approch  Pathology :

Pathology Microscopic Description Gross Description Left GII T3NoMo Left 3.5x2.5x1Size Well circumscribed Submitted total+safty margin from the bed Tumour

Post op

Surgical procedure  Technique: –left renal exploration –12 rib incision –Excision of mass in the left renal bed with safety margin from including the renal capsule –Pathology:  Myofibroblastic proliferation (Desmoid tumor)

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